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A rare case of Marjolin’s ulcer of lower abdominal wall

Author: 
Dr. R. Alagar Samy
Subject Area: 
Health Sciences
Abstract: 

Marjolin's ulcer is defined as a malignant, ulcerating neoplasm occurring in cicatricial tissue, and is thought to be more aggressive than the other more common varieties of skin cancers. Butterworths Medical Dictionary (MacNalty, 1965) now defines Marjolin's ulcer as any cancer arising in association with a chronic sinus, ulcer or scar. Cases of squamous cell carcinoma arising in the abdominal wall from a scar (non burn scar) are extremely rare (Fleming et al., 1990). Was conducted a literature review and was found two case report, this being the third report in the literature (Franke and Chung, 2010; García et al., 2006). A 40 years old female admitted with complaints of an ulceoproliferative growth of left lower abdominal wall of two months duration. The ulcer was a non traumatic and non burn type. On examination there was a 4x3 cms ulcer proliferative growth of left lower abdominal wall with everted edges, indurated base and floor covered with necrotic tissue with bleeding on touch. On biochemical investigation and imaging found to be normal. We did the wide local excision with 2 cms margin clearance in 3 dimensional aspect. The post op periods were uneventful with the HPE report of well differentiated squamous cell carcinoma. The patient is on follow up. it is being presented for its rarity.

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